| NPI | 1861450108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M0540) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: RI MD12007) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2023-03-10 |